Ms Sandra Lucille Park, ARNP in Milton, FL - Medicare Nurse Practitioner

Ms Sandra Lucille Park, ARNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Milton, Florida. Her current practice location is 5527 Stewart St, Milton, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 983-5200.

Ms Sandra Lucille Park is licensed to practice in Florida (license number 1805132) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356479380.

Contact Information

	Ms Sandra Lucille Park, ARNP
	5527 Stewart St, Milton, FL 32570-4303
	(850) 983-5200
	(850) 983-5215

Map and Direction

Provider's Profile

Full Name	Ms Sandra Lucille Park
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	5527 Stewart St, Milton, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356479380
Provider Enumeration Date: 03/01/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3870689524
Enrollment ID: I20230728000032

Medical Identifiers

Medical identifiers for Ms Sandra Lucille Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356479380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	1805132 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Sandra Lucille Park allows following entities to bill medicare on her behalf.

Entity Name	Florida Department Of Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932177409 PECOS PAC ID: 3072424282 Enrollment ID: O20051107000108

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Sandra Lucille Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Sandra Lucille Park, ARNP Po Box 929, Milton, FL 32572-0929 Ph: (850) 983-5200	Ms Sandra Lucille Park, ARNP 5527 Stewart St, Milton, FL 32570-4303 Ph: (850) 983-5200

Reviews and Comments

Nurse Practitioner Nurses in Milton, FL

Grace Francis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5441 Berryhill Rd, Milton, FL 32570 Phone: 850-626-7779 Fax: 850-626-7171
Monica Jemison, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5277 Goshawk Dr, Milton, FL 32570 Phone: 850-499-6998
Talitha Briese, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 Stewart St, Milton, FL 32570 Phone: 850-983-5500 Fax: 850-983-5530
Joshua Ward, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6501 Caroline St, Milton, FL 32570 Phone: 850-623-0133
Toni Hodson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5530 Northrop Rd, Milton, FL 32570 Phone: 850-983-8888
Mrs. Kaylin Marie Quinn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4355 Glen Forest Dr, Milton, FL 32583 Phone: 850-313-1856
Carri L Phillips, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5834 Berryhill Rd, Milton, FL 32570 Phone: 850-623-5437 Fax: 850-626-7803

Ms Sandra Lucille Park, ARNP - Medicare Nurse Practitioner in Milton, FL